Christopher Campanile, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD07836 Issued in RI

Practice address

727 East Ave
Pawtucket, RI 02860-6184

Phone

(401) 725-6160

Fax

(401) 722-5430

NPI assigned

Oct 11, 2006

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1598853566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606184",
            "telephone_number": "401-725-6160",
            "fax_number": "401-722-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANILE",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD07836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001683",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Calitri, BCBA
• Alexis Callahan
• Moses Calouro, LCDP
• Calverleigh Pharma Solutions LLC
• John Calzada
• Scott Michael Campbell
• Hannah Camplin, RN
• Sandra Carolina Campusano, CPE, CPD
• Corey Canady
• Michael Cancilliere, LMHC

• Family Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.